What ointment should be used for bed‑mites? - briefly
Use a topical preparation containing permethrin (5 %) or benzyl benzoate, both of which are proven acaricides for bed‑mite infestations. Apply according to the product label and repeat treatment if necessary.
What ointment should be used for bed‑mites? - in detail
When dealing with skin reactions caused by bed‑mite bites, select a topical agent that addresses both the parasite and the inflammatory response.
Antiparasitic ointments
- Permethrin 5 % cream: kills mites on contact; apply to affected areas once, repeat after 24 h if needed.
- Crotamiton 10 % cream: both scabicidal and antipruritic; apply twice daily for 5 days.
- Benzyl benzoate 25 % lotion: effective against a broad range of ectoparasites; apply thinly, leave for 30 min, then wash off; repeat for 3 consecutive days.
Anti‑inflammatory and antipruritic preparations
- Hydrocortisone 1 % ointment: reduces redness and itching; apply 2–3 times daily for up to 7 days.
- Calamine lotion or pramoxine 1 % cream: provide symptomatic relief; use as needed.
Prescription options
- Topical ivermectin 1 % cream: approved for scabies, also active against mites; apply once, may repeat after 7 days.
- Combination products containing permethrin and a corticosteroid: address infestation and inflammation simultaneously; follow physician guidance.
Application guidelines
- Clean the skin with mild soap, dry thoroughly.
- Apply a thin layer of the chosen ointment, covering the entire bite area.
- Wash hands after each application.
- Monitor for local irritation; discontinue if rash spreads or worsens.
Safety considerations
- Avoid potent steroids on broken skin or in infants without medical supervision.
- Pregnant or lactating individuals should use only approved, low‑potency formulations.
- Resistance may develop with repeated permethrin use; rotate agents if treatment fails.
Topical therapy alleviates symptoms but does not eradicate the source. Comprehensive control includes laundering bedding at ≥ 60 °C, vacuuming mattresses, and, if necessary, professional pest management.